Hi there these are all suggestions because I found no one has your answer. I would find a doctor who is a migraine specialist and I found if you can a woman more compassionate. There was no magic pill only things that help 10 % for this 20% for that but it adds up to make life livable with migraines. I am telling you what works for me your different. Botox, 50- 100 mg. Tramadol exercise if you can , Cefaly, meditation, watch your diet,keep stress down. I have tried over 50 drugs over my 25 years with migraines and combinations of drugs nothing worked. Read all the things that people have tried and fine what may help for you. Don’t give up my life did change I was a driven successful entrepreneur but now take life a day at a time I am a much nicer person Good Luck Ed

I've had migraines for over 4 decades & have had to restart treatment each time I moved, changed jobs, or changed insurance carriers.

I understand the frustration. Migraine therapy can be difficult & is not a one-size fits all. The key is finding the right combination.

Try to find a neurologist who specializes in migraines (or at least understands them). Blood tests should be ordered regularly to monitor changes each time a new therapy is started/discontinued.

I would caution against starting/stopping multiple therapy options at once (it helps your doctor know what is/isn't working.

Hormone levels are known triggers & the physician should check these regularly to see if they're contributing in any way.

Hydration is key. Water, water, water. If you prefer to drink anything else, I would suggest alternating between water & whatever else you drink, ie tea, water, tea, water, etc.

If you haven't already, look up known migraine triggers.

Artificial sweeteners are big triggers for me & give me migraines almost immediately. Watch out for diet sodas. Fluorescent lighting is also a problem so I shop online.

Neurologists I have seen, recommend vitamin and mineral supplements (B2 and magnesium, but also feverfew, vitamin D, etc. I was found to be vit D deficient & take that as well). Supplements are worth researching/discussing with your doctor (add or delete one therapy at a time). I take a B complex & magnesium complex & find chelated varieties work best. Some varieties are better than others for treating migraines.

It is best to make sure any supplements you take are manufactured in the US & are independently tested by outside, accredited, labs for:

Contaminants - If the supplement contains unsafe levels of heavy metals, pesticides, herbicides, bacteria, or mold

Ingredients - Does the supplement contains the ingredients listed on the label & are they accurate & potent

Quality - Does the supplement meet established standards for purity & overall quality & are they manufactured in GMP facilities.

The best supplements will not have fillers or allergens (soy, dairy, egg, fish, shellfish, nuts, gluten, sugar) & be non-GMO.

I prefer capsules over tablets for easier absorption.

For preventative & rescue prescriptions, again, everyone is different & you need/should give each therapy up to 3 months to build up to therapeutic levels. If you try a new drug for a month & tell your doctor it isn't working, the drug has not been given the full opportunity to work.

The exception to this of course, is if you have an adverse reaction to a drug. In which case, contact your doctor immediately & follow their instructions.

It can take a long time to discover the cocktail that works for you & other drugs you take may interfere & need to be adjusted by your doctor. There is hope. Please don't give up.

Hope this helps 🫶

(Edited for length)

Very sorry to hear your diagnosis. It helps me to read posts from others as it makes me feel less alone. I tried amytriptaline but it created behavior problems. My daughter took it for many years without problems. Just be aware of how you are feeling.

I've actually never heard of amytriptaline! It's fully possible I've tried it though, I tried alot of different preventative pills. I've just found that those pills do nothing for me. Aimovig is a once a month at home injection (like an epipen) so it's a little more intense, but it works and I would honestly poke myself everyday if I had to over a migraine

Are you on amytriptaline or anything else with the amovig? Got a prescription for amytriptaline but nervous to try it.